<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>开票信息</title>
    <link rel="stylesheet" type="text/css" href="../../../../static/h-ui/css/H-ui.min.css" />
    <link rel="stylesheet" type="text/css" href="../../../../static/h-ui.admin/css/H-ui.admin.css" />
    <link rel="stylesheet" type="text/css" href="../../../../lib/Hui-iconfont/1.0.8/iconfont.css" />
    <link rel="stylesheet" type="text/css" href="../../../../static/h-ui.admin/skin/default/skin.css" id="skin" />
    <link rel="stylesheet" type="text/css" href="../../../../lib/jedate-6.5.0/skin/jedate.css" />
    <link rel="stylesheet" type="text/css" href="../../../../static/h-ui.admin/css/style.css" />
    <link rel="stylesheet" type="text/css" href="../../../../ht-css/Project.css" />
    <link rel="stylesheet" type="text/css" href="../../../../lib/Validform/5.3.2/style.css" />
    <link rel="stylesheet" type="text/css" href="../../../../ht-css/style-q.css" />
</head>
<body>
<form class="bg-1 bk-gray pd-20 billing-form">
    <div class="va-m lh-20 f-16 pt-15">
        <table class="table_li mb-10 table">
            <thead class="text-l">
            <tr>
                <td class="col-1-1">
                    <label class="form-label f-l w-150 text-r lh-26"><span class="c-red pr-5">*</span>公司名称：</label>
                    <div class="formControls f-l">
                        <input type="text" class="input-text radius ml-10 w-250 companyName" name="companyName" autocomplete="off" placeholder="公司名称" datatype="/^[\s\S]{1,127}$/" errormsg="格式错误，请重新输入" nullmsg="请输入公司名称">
                    </div>
                    <span class="Validform_checktip"></span>
                </td>
            </tr>
            <tr>
                <td class="col-1-1">
                    <label class="form-label f-l w-150 text-r lh-26"><span class="c-red pr-5">*</span>税号：</label>
                    <div class="formControls f-l">
                        <input type="text" class="input-text radius ml-10 w-250 taxNo" name="taxNo" autocomplete="off" placeholder="税号" datatype="/^[a-zA-Z0-9]{15,20}$/" errormsg="税号需为15-20位数字或字母" nullmsg="请输入税号" onkeyup="this.value=this.value.replace(/[^a-zA-Z0-9]/g,'')" onafterpaste="this.value=this.value.replace(/[^a-zA-Z0-9]/g,'')" maxlength="20">
                    </div>
                    <span class="Validform_checktip"></span>
                </td>
            </tr>
            <tr>
                <td class="col-1-1">
                    <label class="form-label f-l w-150 text-r lh-26"><span class="c-red pr-5">*</span>地址：</label>
                    <div class="formControls f-l">
                        <input type="text" class="input-text radius ml-10 w-250 address" name="address" autocomplete="off" placeholder="地址" datatype="/^[\s\S]{1,127}$/" errormsg="格式错误，请重新输入" nullmsg="请输入地址">
                    </div>
                    <span class="Validform_checktip"></span>
                </td>
            </tr>
            <tr>
                <td class="col-1-1">
                    <label class="form-label f-l w-150 text-r lh-26"><span class="c-red pr-5">*</span>电话：</label>
                    <div class="formControls f-l">
                        <input type="text" class="input-text radius ml-10 w-250 phone" name="phone" autocomplete="off" placeholder="电话" datatype="/^[0-9 -]{1,20}$/" errormsg="只支持输入纯数字和中横线" onkeyup="this.value=this.value.replace(/[^\d-]/g,'')" onafterpaste="this.value=this.value.replace(/[^\d-]/g,'')" nullmsg="请输入电话" maxlength="20">
                    </div>
                    <span class="Validform_checktip"></span>
                </td>
            </tr>
            <tr>
                <td class="col-1-1">
                    <label class="form-label f-l w-150 text-r lh-26"><span class="c-red pr-5">*</span>开户行：</label>
                    <div class="formControls f-l">
                        <input type="text" class="input-text radius ml-10 w-250 bankAccount" name="bankAccount" autocomplete="off" placeholder="开户行" datatype="/^[\s\S]{1,20}$/" errormsg="格式错误，请重新输入" nullmsg="请输入开户行">
                    </div>
                    <span class="Validform_checktip"></span>
                </td>
            </tr>
            <tr>
                <td class="col-1-1">
                    <label class="form-label f-l w-150 text-r lh-26"><span class="c-red pr-5">*</span>账号：</label>
                    <div class="formControls f-l">
                        <input type="text" class="input-text radius ml-10 w-250 bankAccountNumber" name="bankAccountNumber" autocomplete="off" placeholder="账号" datatype="/^[0-9]{1,25}$/" onkeyup="this.value=this.value.replace(/\D/g,'')" onafterpaste="this.value=this.value.replace(/\D/g,'')" errormsg="格式错误，请重新输入" nullmsg="请输入账号" maxlength="25">
                    </div>
                    <span class="Validform_checktip"></span>
                </td>
            </tr>
            </thead>
        </table>
    </div>
    <div class="text-c pb-20 pt-10">
        <button type="button" class="btn radius size-S" onclick="cancelLayerNoRefreshFn()">取消</button>
        <button type="submit" class="btn btn-secondary radius size-S next-step">确定</button>
    </div>
</form>
</body>
<script type="text/javascript" src="../../../../lib/jquery/1.9.1/jquery.min.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../lib/layer/2.4/layer.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../static/h-ui/js/H-ui.min.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../static/h-ui.admin/js/H-ui.admin.js?rev=@@hash"></script>
<!--表单验证-->
<script type="text/javascript" src="../../../../lib/jquery.validation/1.14.0/jquery.validate.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../lib/jquery.validation/1.14.0/validate-methods.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../lib/jquery.validation/1.14.0/messages_zh.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../lib/Validform/5.3.2/Validform_v5.3.2_min.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../lib/laypage/1.2/laypage.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../lib/jedate-6.5.0/dist/jedate.min.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../ht-js/public.js?rev=@@hash"></script>
<!--验证token-->
<script src="../../../../ht-js/verifyToken.js?rev=@@hash"></script>
<script type="text/javascript" src="../../../../ht-js/serviceProvider/approvedServiceProviders/addPackage/addBillingInfo.js"></script>
</html>